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Issues and Studies in Pharmacoeconomics
Published in Mickey C. Smith, E.M. (Mick) Kolassa, Walter Steven Pray, Government, Big Pharma, and the People, 2020
Mickey C. Smith, E.M. (Mick) Kolassa, Walter Steven Pray
The other side, of course, would argue that if research outcomes are presented in a format that is acceptable and understandable, then Policy initiatives can be influenced by Health Services Research. The value of Health Services Research per se is of importance when it focuses attention on the magnitude of a problem of societal concern.
Epidemiology
Published in John C Watkinson, Raymond W Clarke, Louise Jayne Clark, Adam J Donne, R James A England, Hisham M Mehanna, Gerald William McGarry, Sean Carrie, Basic Sciences Endocrine Surgery Rhinology, 2018
Jan H.P. van der Meulen, David A. Lowe, Jonathan M. Fishman
Important questions for health services research are those that address the variations in processes and outcomes of healthcare services, as well as the determinants of these variations. Research in public health may be concerned with the influence of environmental factors, socioeconomic conditions and health services on health in the community. It will be clear by now that many of these questions take the form of determinant-occurrence relationships, which again confirms the crucial role of an epidemiological approach.
The imperative to publish healthcare improvement
Published in David P. Stevens, Writing to Improve Healthcare, 2018
In the first decade of the twenty-first century, a noteworthy cross current emerged in the scholarly healthcare literature. It reflected a concern among some observers that healthcare improvement might be veering off a critical scientific path. Early on, Shojania and colleagues [5] asserted that valid healthcare improvement methodology, particularly its application to improving patient safety, required a critical foundation based on evidence. Thereafter, Auerbach et al. [6] called for greater attention to aligning healthcare improvement with rigorous health services research methodology. They began to insist on an author's obligation to demonstrate validity and reliability.
The National Hemophilia Foundation State of the Science Research Summit initiative: executive summary
Published in Expert Review of Hematology, 2023
Leonard A. Valentino, Michelle L. Witkop, Maria E. Santaella, Donna DiMichele, Michael Recht
To tackle their considerable charge, WG5 divided the perceived challenges into those addressable through health services research and implementation trials, and work related directly to addressing and researching diversity, equity, and inclusion [11]. There were five priority research questions to be addressed by new investments in the field of health services research to study access to care, treatment adherence, as well as patient outcomes and satisfaction. To address diversity, equity, and inclusion, six top priority research questions emphasizing the importance of how racism, sexism, and other explicit and implicit phobias and biases operate within the practices of data collection, clinical care, and engagement with the community were put forward. Bridging research to clinical practice is a critical step in adopting, integrating, and sustaining evidence-based interventions to improve health outcomes, affect patient and provider satisfaction, and improve the health of a population. To address this crucial need, five top priority research questions were proposed by WG5 in implementation science.
Challenges and opportunities in the care of chronic subdural haematoma: perspectives from a multi-disciplinary working group on the need for change
Published in British Journal of Neurosurgery, 2022
Daniel J. Stubbs, Benjamin Davies, Peter Hutchinson, David K Menon
cSDH is increasingly recognised as a ‘sentinel health event’.72,73 The multi-disciplinary ICENI collaborative has identified several challenges that must be addressed if the care of people with cSDH is to be improved. Many of these arise from distributed nature of care for most of these patients, leading to incomplete understanding of patient outcome, cross-specialty requirements, disease burden, and a supported decision-making process. The care improvements delivered in related clinical areas offer both a precedent for success, and potentially transferable solutions, although additional cSDH specific knowledge gaps remain. A wide-ranging programme of health services research is needed to tackle questions concerning models of care and service design, patients and families experiences of care and how best to share decisions, improvement strategies, and economic evaluation.74–76 Improving system design and processes will need to proceed together with a well-founded programme of research to address clinical questions, including those likely to benefit from randomised controlled trials. One uncertainty amenable to a trial, for example, is that of GA versus LA for cSDH, analogous to the GALA trial examining their use in carotid endarterectomy.77
Distinctions and blurred boundaries between qualitative approaches and public and patient involvement (PPI) in research
Published in International Journal of Speech-Language Pathology, 2022
Ruth Mc Menamin, Jytte Isaksen, Molly Manning, Edel Tierney
Qualitative research which “uses words as data, collected and analysed in different ways” (Braun & Clarke, 2013, p. 3) has a long independent tradition in medical sociology, health psychology and anthropological studies of healthcare (Locock & Boaz, 2019). This iterative approach is particularly useful for obtaining rich descriptions and capturing participants’ lived experiences (Denzin & Lincoln, 2011). In health services research, qualitative research methods have been valuable. For example, in clinical trials, an in-depth elicitation of participant perspectives can help inform the development and future implementation of interventions. Adopting a qualitative approach in research can also help to evaluate how an intervention is received and why it does or does not work in particular contexts and cultures by drawing on participants’ lived experiences and knowledge.